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SSL SK SHIP# 232490945 IIIIIIIIIIIIIIIIIIIIII II II�IIIII <br /> 0077695996 K5 <br /> Pi^ase print ora�a p�a� Farm Approved.OMB No.2050-0039 <br /> UNIFORMHRZFR00118 1.Ge'nr°mrlDNumbx TXR000081205 2POlta 3 1 NNIDRF1lbNl 0077"9599 SKS <br /> WASTE MANIFEST 1 <br /> 6.GenA N«reard Ma" SYSTEMS, <br /> Gertvebfs9l°MrlrwllJEMN lM1SYTT Mgida7 <br /> SAFETY-KLEEN SYSTEMS, INC. 50FETS-KLEEN SYSTEMS, INC. <br /> PO DX 555 5050 SRLIDR BLVD <br /> SflLIDA CR 95368 <br /> Goody snwre. 209-545-1011 SRLIDR CR 95368 <br /> 6.Trarsu OPal'r VtR SYSTEMS INC U.S.`FK"umba TXR000081205 <br /> 7,NnHptalter�2Y.F�LtG. NtamNe U.S.EPAID Numni <br /> CLEAN Hr RflORE ENV SVC INC. MAD039322250 <br /> s Deals"abe Faulny Nance a^°sw°°^'m° SAFETY-KLEEN SYSTEMS, INC. US.SPAIDNurnber <br /> 6000 88TH STREET <br /> SACRAMENTO , CA 95828 <br /> 916-386-4913 CR0000084517 <br /> Frill sPMre: I ' <br /> y, 9b U.S.DOTDOdoddon(ncluding Pmpa SM1ippig Name,Fail Cbss,ID Nurnbar, lo(tondid. 11.Tdal 12.Unk <br /> HAI andeadia Gm+p(k«Iy)) No. Type Ouen9ry WI,Aq, 11YANd Catles <br /> K <br /> O <br /> uWzi 2. NDN-RCRA HAZARDOUS WASTE, LIQUID DM �,� 6 134 <br /> ca (AQUEOUS PARTS WASHER SOLUTION) (n/N <br /> OYU1 <br /> a. <br /> ta.SpeoN HaaNg lnWNoreaMAddp«MlrlMmetlpn TSD:SCA SAL CSG: <br /> 24H EMERGENCY#800-468-1760-CH/SK/TFI-Contract retainedby generator confers aggency aothori y <br /> on initial transporter to add or substitute additional trans orters ongenerator' s behalf. <br /> 15. GENEMTOR'&OFFEROR'S CERnFIfAng1:IN«eby tledam WltlleoanWb aMuconaynmenlare NltyantlemlratlyEmafieE abate by Ne gopxaM1ippig nrn,aN arec6ulfntl.patluped <br /> mehnd aM IahebNpbgaed,and are in ON reaparls in pmpa'mrlddlonfdrhanaporr ayartling to applin5b intemafwrelaM nidi gowPananlN"rations.derepnabi«remalb lamp¢eni <br /> Eapaler,I ymNMat Ue aanbnta olNnynegmmenl«M«mio tle bons of Ne atlaRed EPAAoknaMedgmentol C�nsml. <br /> I WttlrewaeM mnimiuen 9alertaa itlenefetlndO CFR�227(el fdtmnalege auenliygenerat«)« amavrellgxrsrygenerelw)bbw. <br /> 1�rn .ftFnitqi Nene Sgrebre M«N Day Yea <br /> In 14 w <br /> F 16.InremaWnle pmenb ❑mpana U.6. <br /> ❑Epadbpm U.s. earylS <br /> ? Trerlepoder9gnaNre(W e.porbonN): Da I�nrU . <br /> g S.: <br /> w 17.TrdnspabrAdmvMetlgmenlal Recepta Mebnals <br /> �, rbri PdnkWi m° Sgnb Mord, Do Y. <br /> antaner2 preb Nam° <br /> K SiP'Ialure MpnN NY Year <br /> ♦I te.psaepanry <br /> I t6a.Nara «iq intl'lnAon$pay ❑ El T,, T�❑i�ee{kuye y�I Pa66 Rylui �1 n—T El Fall RgxOpn <br /> ,f.(v\ ,•�j^Tr ' Me'nka'Iiekrel(w Nammr: OIQS ll"1 2)i <br /> 186.Nbmab Fdtl:ry(a CarlaemN U.S.EPA ID Number <br /> V <br /> u <br /> Fast PMn'. <br /> W ma SMnbre orAtema,FarJRy(a Generator) M«eM1 Do, Year <br /> Q <br /> 2 <br /> � 19.Hvatloue Waere Repgt Manegernenr MeMptlCWes(ie..adps for M1araNau waab beabreM deposel.aMr}tlilg eyelene) <br /> ct. 2. H141 N -FF#4-}-. a <br /> 1 2D Detl9ubtl Fsaaky Gxn««Operabr Cemfi®eonareylpt of M1arardan nmm�elawreretlgm.manireere.cegmmrmmitem lea <br /> notMont Day Year <br /> BPa - ` vipussdilp"aafg11p5olele.3�,raTa iar.,.�� , J DESIGNATED FACILITY TO EPA's NN-MANIFEST SYSTEM <br />